Small Gift Application

Requirements

You must be a resident of South Carolina living in the counties of Calhoun, Chester, Darlington, Fairfield, Florence, Kershaw, Lee, Lexington, Newberry, Orangeburg, Richland, Saluda, and Sumter.

You must provide a statement from your physician on their letterhead, stating that you are currently under active Therapy/treatment. (Maintenance care will not be applicable for this benefit. Maintenance care is routine physician visits, labs, scans, drugs, etc.)

A Community Resource Partner, such as a social worker, nurse navigator, or doctor, must sign the application certifying that you need assistance.

Along with the completed application, you must provide copies of the current bills that you are requesting assistance.